Individual provider Active NPI

Robert J Walsh, MD

  • Ophthalmology Physician
  • Rochester, NY
National Provider Identifier
1376636670
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
147788 Issued in NY
Practice address
1777 English Road
Rochester, NY 14616
Phone
(585) 225-4730
Fax
(585) 225-0532
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 147788 NY Primary

Addresses

Primary practice location

1777 English Road
Rochester, NY 14616

Mailing address

1777 English Road
Rochester, NY 14616
Phone (585) 225-4730

Other identifiers 1

IdentifierTypeStateIssuer
100955CROtherPREFERRED CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120202000245 NY Practitioner - Ophthalmology 4082871066 Reassigns benefits to 2 organizations
Practice locations: Rochester, NY

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York at Buffalo School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1777 English Rd
Rochester, NY 14616-1690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
147788NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Current Accepting new patients
Strong Eye Care Ophthalmology CurrentSince Sep 1, 2011 Accepting new patients
Rochester General Hospital CurrentSince Sep 4, 2002 Accepting new patients
Rochester General Hospital CurrentSince Sep 4, 2002 Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

601 Elmwood Ave
#659
Rochester, NY 14642
Phone (585) 275-0378

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376636670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 ENGLISH ROAD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14616",
            "telephone_number": "585-225-4730",
            "fax_number": "585-225-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 ENGLISH ROAD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14616",
            "telephone_number": "585-225-4730",
            "fax_number": "585-225-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "147788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "100955CR",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.